Individual provider Active NPI

Sameena Yasmeen, M.D.

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1063441210
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94650 Issued in FL
Practice address
3600 30TH Street
(451) BLDG 1 RM 2750
Des Moines, IA 50310-5885
Phone
(515) 699-5834
Fax
(515) 699-5906
NPI assigned
Jul 1, 2006
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME94650 FL Primary

Addresses

Primary practice location

3600 30TH Street
(451) BLDG 1 RM 2750
Des Moines, IA 50310-5885

Mailing address

3600 30TH Street
(451) BLDG 1 RM 2750
Des Moines, IA 50310-5885
Phone (515) 699-5834

Other practice location 1

2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129
Phone (386) 456-2080 ext. 5024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000460 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0244471951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1063441210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 30TH STREET",
            "address_2": "(451) BLDG 1 RM 2750",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105885",
            "telephone_number": "515-699-5834",
            "fax_number": "515-699-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 30TH STREET",
            "address_2": "(451) BLDG 1 RM 2750",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105885",
            "telephone_number": "515-699-5834",
            "fax_number": "515-699-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2583 S Volusia Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327639129",
            "country_code": "US",
            "telephone_number": "386-456-2080 x5024",
            "fax_number": "386-456-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YASMEEN",
        "first_name": "SAMEENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.